Airway clearance modalities in neuromuscular disease

被引：32

作者：

Finder, Jonathan D. ^{[1
,2
]}

机构：

[1] Univ Pittsburgh, Sch Med, Pittsburgh, PA 15260 USA

[2] Childrens Hosp Pittsburgh, Pittsburgh, PA 15213 USA

来源：

PAEDIATRIC RESPIRATORY REVIEWS | 2010年 / 11卷 / 01期

关键词：

airway clearance; mechanical insufflation-exsufflation; cough; neuromuscular; weakness; MECHANICAL INSUFFLATION-EXSUFFLATION; INTRAPULMONARY PERCUSSIVE VENTILATION; DUCHENNE MUSCULAR-DYSTROPHY; COUGH; CHILDREN; FLOWS; PROLONGATION; MANAGEMENT; CAPACITY; WEAKNESS;

D O I：

10.1016/j.prrv.2009.10.007

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Airway clearance consists of two linked processes: mucociliary clearance and cough clearance. Patients with neuromuscular weakness are at risk for impaired cough clearance and therefore the development of pneumonia and atelectasis. Aiding airway clearance in the patient with neuromuscular weakness is critical to the maintenance of health and the prevention of significant respiratory morbidity. This can be achieved using both manual and mechanical techniques. This review will discuss the physiology of cough and the mechanics of aiding cough clearance in the patient with neuromuscular weakness. In addition, technologies and techniques used to improve mucociliary clearance will also be discussed. Newer technologies such as mechanical insufflation-exsufflation have gained widespread acceptance in the management of airway clearance in the patient with neuromuscular weakness. (C) 2009 Elsevier Ltd. All rights reserved.

引用

页码：31 / 34

页数：4

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